Individual provider Active NPI

Rochelle L. Johnson, LAC

  • Professional Counselor
  • Paragould, AR
National Provider Identifier
1093842882
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P0902011 Issued in AR
Practice address
2420 Linwood Dr
Paragould, AR 72450-6122
Phone
(702) 365-8808
NPI assigned
Feb 27, 2007
Last updated
Feb 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X P0902011 AR Primary

Addresses

Primary practice location

2420 Linwood Dr
Paragould, AR 72450-6122

Mailing address

3800 Harrisburg Rd Apt 304
Jonesboro, AR 72404-0002
Phone (870) 219-9451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240226000481 AR Practitioner - Mental Health Counselor 5799120184 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nextstep Counseling Services, LLC CurrentSince Jan 16, 2024 Accepting new patients
Life Strategies Counseling, Inc. Past Accepting new patients

Locations

1707 Linwood Dr
Ste B
Paragould, AR 72450
Phone (870) 215-0669

1707 Linwood Dr
Ste G
Paragould, AR 72450
Phone (870) 604-4455

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1093842882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 HARRISBURG RD APT 304",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724040002",
            "telephone_number": "870-219-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 LINWOOD DR",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724506122",
            "telephone_number": "702-365-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROCHELLE",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P0902011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paragould, AR

Sources for this page

Verify at the official NPI Registry.